Innovations in personalised diabetes care and risk management

被引:12
作者
Nijpels, Giel [1 ]
Beulens, Joline W. J. [2 ]
van der Heijden, Amber A. W. A. [1 ]
Elders, Petra J. [1 ]
机构
[1] Amsterdam UMC Locat VUmc, Dept Gen Practice & Elderly Care Med, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands
[2] Amsterdam UMC Locat VUmc, Dept Epidemiol & Biostat, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands
关键词
Complications; diabetes; personalised medicine; risk stratification; OLDER-PEOPLE; CLASSIFICATION SYSTEMS; CARDIOVASCULAR-DISEASE; SCREENING FREQUENCY; PREDICTION MODELS; TREATMENT TARGETS; ELDERLY-PATIENTS; FOOT ULCER; TYPE-2; VALIDATION;
D O I
10.1177/2047487319880043
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Type 2 diabetes is associated with an increased risk of developing macro and microvascular complications. Nevertheless, there is substantial heterogeneity between people with type 2 diabetes in their risk of developing such complications. Personalised medicine for people with type 2 diabetes may aid in efficient and tailored diabetes care for those at increased risk of developing such complications. Recently, progress has been made in the development of personalised diabetes care in several areas. Particularly for the risk prediction of cardiovascular disease, retinopathy and nephropathy, innovative methods have been developed for prediction and tailored monitoring or treatment to prevent such complications. For other complications or subpopulations of people with type 2 diabetes, such as the frail elderly, efforts are currently ongoing to develop such methods. In this review, we discuss the recent developments in innovations of personalised diabetes care for different complications and subpopulations of people with type 2 diabetes, their performance and modes of application in clinical practice.
引用
收藏
页码:125 / 132
页数:8
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